NPI | 1972722304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 4944) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00043169) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2007-07-08 |